Individual
DR. TOM STANFORD LIEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
1815 FRANCIS LEWIS BLVD, WHITESTONE, NY 11357-3836
(718) 746-8900
Mailing address
1815 FRANCIS LEWIS BLVD, WHITESTONE, NY 11357-3836
(718) 746-8900
Taxonomy
Speciality
Code
Description
License number
State
1223X0400X
Orthodontics and Dentofacial Orthopedics Dentistry
Primary
052875-1
NY
Other
Enumeration date
09/26/2010
Last updated
02/04/2013
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